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Can a patient with Graves disease safely start a GLP1 receptor agonist for diabetes or weight loss, and what monitoring is recommended?

Phase 2 dose-finding trial (Lancet 2021) showed clear dose-response from 0.3 mg up to 4.5 mg/week, but 2.4 mg is the dose Novo Nordisk advanced into Phase 3 and is the most commonly self-reported community ceiling

Night Shred Black is also available in a melatonin-free form

Cork SC, Richards JE, Holt MK, Gribble FM, Reimann F, Trapp S

C., Nilsson, M., Grabsch, H

Diabetes is a prevalent co-morbidity in those with RH
